FRESNO KINETIC BODYWORKS (NPI# 1073900627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073900627 |
Entity Type | Organization |
Organization Name | FRESNO KINETIC BODYWORKS |
Practice Address |
336 W Bedford Ave Suite 108 Fresno CA 93711-6185 |
Practice Telephone | 5594926848 |
Mailing Telephone | 5594926848 |
Enumeration Date | 2015-04-22 |
Last Update Date | 2015-04-22 |
Authorized Official Name | MR. MICHAEL DAVID GREENE (OWNER/THERAPIST) |
Authorized Official Telephone | 5594926848 |
Authorized Official Credential | CMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 61093 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
336 W BEDFORD AVE SUITE 108 |
City | FRESNO |
State | CA |
Zip Code | 93711-6185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568867117 | Michael Greene | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2014-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
Find all providers in zip 93711 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376186072 | Yegue O Badigue | Massage Therapist | 2817 E Spruce Ave Apt 136, Fresno, CA 93720-0373 | 2019-10-25 |
1194216093 | Annalisa Olivas | Massage Therapist | 1525 E Greenwich Ave, Fresno, CA 93720 | 2018-05-25 |
1568867117 | Michael Greene | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2014-10-24 |
1205238292 | Daniel J Williams | Massage Therapist | 7676 N Fresno St. Sp. 6, Fresno, CA 93720 | 2014-09-22 |
1982037263 | Trish L Pruitt | Massage Therapist | 1648 E Herndon Ave Ste 106, Fresno, CA 93720-3381 | 2013-08-09 |
1205193992 | Cathy Abbott | Massage Therapist | 4733 W Spruce Ave Ste 106, Fresno, CA 93722-3576 | 2012-04-18 |
1619266871 | Pakou Vue | Massage Therapist | 3750 N 1st St, Fresno, CA 93726-5601 | 2011-03-28 |
1013231158 | Victor Martinez-breners | Massage Therapist | 401 W Fallbrook Ave, Ste 105, Fresno, CA 93711-5833 | 2010-03-18 |
1740419654 | Lisa Andrea Anderson | Massage Therapist | 1901 Fulton St., #110, Fresno, CA 93721 | 2009-07-13 |
1619111077 | Rebecca P Calleja | Massage Therapist | 7948 N Maple Ave Ste 110, Fresno, CA 93720-0288 | 2009-04-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.